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... administration of care management. Provides non-clinical support to the assessment and ... established policies. This position provides non-clinical support supervising Care Manger Support ... with other Supervisors, Managers, Directors,..
... Advice Line is an inbound call center that provides Humana members with ... trained to act as a clinical concierge. The NAL Telephonic Nurse ... least 3 -5 years..
... physician and insurance company; compose clinical appeals letters based off of ... specific denial reason and patient's clinical presentation and coordinate appointment of ... with a basic understanding of..
Job Information Humana Supervisor, UM Administration-Remote in Birmingham Alabama Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Job Information Humana Consumer Experience Lead-Remote in US in Huntsville Alabama Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
Job Information Humana Consumer Experience Lead-Remote in US in Birmingham Alabama Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
Job Information Humana Consumer Experience Lead-Remote in US in Mobile Alabama Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..